| NPI | 1770691743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D-3182) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 319754-9922) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |