| NPI | 1366612962 |
|---|---|
| Other Name | MICHELE TULAK-GORECKI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 15604) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 15707) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |