NPI | 1861184343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 7806) |
Additional Taxonomies | 122300000X Dentist (Licence: NV 7806) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2023-05-23 |