NPI | 1396901567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OK 6071) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 6071) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2008-08-06 |