| NPI | 1639159320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-10426) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 8259) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-04-18 |