NPI | 1912391350 |
---|---|
Other Name | LUCAS LAI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901600416) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: WA DR60555009) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2020-07-23 |