| NPI | 1396922712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI0236500) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 054126) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-01-05 |