| NPI | 1720116403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 14089) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NY 040717) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-09-24 |