| NPI | 1316700578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 42153) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401419173) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2026-01-17 |