NPI | 1295997807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 26390) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NC 9009) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2015-06-09 |