| NPI | 1285400887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DENT.DE.70004831) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-08-19 |