NPI | 1346297082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN17437) |
Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: GA DN012097) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2020-06-19 |