Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 2901019175 | MI |
NPI | 1134286891 |
---|---|
Provider Name | Dr. Alireza Aminlari |
First Address | Ann Arbor, MI 48103-6196 |
Second Address | Ann Arbor, MI 48103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 29/06/2018 |