| NPI | 1811378540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8564) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8564) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-08-22 |