Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 6899 | NC |
NPI | 1093086498 |
---|---|
Provider Name | Dr. Ralph Michael Hoffmann |
First Address | Charlotte, NC 28211-1086 |
Second Address | Charlotte, NC 28211-1086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2012 |
Last Update Date | 24/01/2012 |