| NPI | 1285894956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN/8320) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 18320) |
| 1223G0001X Dentist, General Practice (Licence: FL DN18320) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-03-25 |