| NPI | 1992365779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034105) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 019.034105) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-08-13 |