| NPI | 1588009427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: DC den1001278) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 122300000X Dentist (Licence: MD 15515) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-08-14 |