NPI | 1740653146 |
---|---|
Other Name | ISAAC DRAKE MORTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: LA S-1187) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NC 11335) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2024-08-29 |