| NPI | 1902200231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 35648) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 64141) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-04-01 |