| NPI | 1588271316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 112707) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 12066) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2026-03-04 |