NPI | 1356699250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AL 5930) |
Additional Taxonomies | 122300000X Dentist (Licence: AL 5930) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2024-07-30 |