NPI | 1407933427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 8592) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 19654) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |