NPI | 1164492104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12012276A) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AK 173) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12012276B) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2023-03-07 |