NPI | 1386898914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NV 7771) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ d012098) |
122300000X Dentist (Licence: OK 7800) | |
1223G0001X Dentist, General Practice (Licence: FL DN18040) | |
1223P0700X Dentist, Prosthodontics (Licence: CA 58233) | |
Enumeration Date | 2008-11-10 |
Last Update Date | 2025-06-15 |