NPI | 1285951004 |
---|---|
Other Name | ROBERT BUSAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019028190) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021002454) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2024-04-30 |