| NPI | 1740848449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 11311754-9923) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 11311754-9923) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-08-30 |