NPI | 1699939702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 53208) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN16708) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2010-02-26 |