| NPI | 1619178746 | 
|---|---|
| Former Name | LI-WEI LIN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 104329) | 
| Additional Taxonomies | 122300000X Dentist (Licence: NY 051035) | 
| Enumeration Date | 2007-05-29 | 
| Last Update Date | 2022-07-01 |