| NPI | 1447310891 |
|---|---|
| Professional Name | MICHAEL LIPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30015034) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 6049) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-12-31 |