| NPI | 1588281307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 37091) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2020018236) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2022-08-04 |