| NPI | 1336117902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 4614) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 1859284) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0438000431) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 17290) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 10542) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 11973) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.024329) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 38411) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-07-06 |