| NPI | 1881769834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55535) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D5351) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-01-07 |