| NPI | 1275707747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ d7452) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 27658) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-10-24 |