| NPI | 1982194205 |
|---|---|
| Former Name | ODAY ZUMA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D15009) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 102425) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2023-10-11 |