NPI | 1306068192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA DNF000429) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 019020381) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-02-06 |