NPI | 1326137357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5787) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 5787) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-04-22 |