| NPI | 1265668362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 009390) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 042261) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |