| NPI | 1841517836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9274) |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-09-30 |