| NPI | 1225562549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN26579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA DL13293) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-05-21 |