| NPI | 1205176401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL D-0006865-C) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 7369) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 8675624-9921) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2022-08-29 |