NPI | 1790179950 |
---|---|
Professional Name | RYAN JAMES PASIEWICZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030272) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-26 |
Last Update Date | 2016-05-25 |