NPI | 1306525886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NE 7949) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NE 7949) |
208600000X Surgery (Licence: NE 7949) | |
Enumeration Date | 2023-07-13 |
Last Update Date | 2023-07-13 |