NPI | 1841614534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D9948) |
Additional Taxonomies | 122300000X Dentist (Licence: AZ D9948) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2024-08-27 |