Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 054765 | NY |
Y | 1223P0700X | Prosthodontist | 62192 | CA |
NPI | 1033450721 |
---|---|
Provider Name | Dr. Tzur S Gabi |
First Address | Beverly Hills, CA 90212-3851 |
Second Address | Beverly Hills, CA 90212-3851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2013 |
Last Update Date | 06/03/2013 |