NPI | 1770022386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401417919) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 18921) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2025-09-16 |