| NPI | 1841032026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D.007414-C1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 12508) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-02-26 |