NPI | 1043412620 |
---|---|
Former Name | MOHAMMED ADIL ASIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027367) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019027367) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2016-06-16 |