| NPI | 1700094158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN21905) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 21905) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-06-08 |