NPI | 1568037984 |
---|---|
Former Name | PEJMAN BEHINAEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 107966) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-27 |
Last Update Date | 2022-11-23 |