| NPI | 1447948187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401418578) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: AL T-000410) |
| 1223P0700X Dentist, Prosthodontics (Licence: DC DLT2000006) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-11-07 |