NPI | 1881796266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN0013180) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DN0013180) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2007-07-08 |