NPI | 1770918971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 019.022065) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN12517) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2013-09-06 |