NPI | 1457482168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 36125) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN10933) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2022-07-21 |