NPI | 1437445400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6347) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3833) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2016-02-03 |