NPI | 1255190971 |
---|---|
Other Name | DREW MARCHANT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IA RES-30691) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-03-15 |
Last Update Date | 2024-12-08 |