NPI | 1144890542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 061839) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 22DI02799400) |
1223E0200X Dentist, Endodontics (Licence: FL DN24329) | |
Enumeration Date | 2021-06-28 |
Last Update Date | 2024-10-07 |