NPI | 1164651907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 19970) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TN 8998) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2009-12-16 |