| NPI | 1861985566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D010721) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00203572) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-10-06 |