| NPI | 1972545432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN17544) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 15136) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-12-17 |