| NPI | 1255063038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN27020) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026924) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-07-17 |