NPI | 1346819265 |
---|---|
Other Name | ISAAC COVARRUBIAS MELO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KS 62243) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7738) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2024-12-12 |