NPI | 1013246107 |
---|---|
Former Name | ELIAS G ABOU KHALIL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25017) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D7894) |
1223G0001X Dentist, General Practice (Licence: CA 58575) | |
Enumeration Date | 2009-12-18 |
Last Update Date | 2011-08-28 |