NPI | 1497985659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MI 2901020090) |
Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: FL DN18681) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2024-09-18 |