NPI | 1023250057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 1159) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: NH 1159) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-04-06 |