| NPI | 1396123352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401416435) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 16193) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: DC DEN1001975) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2019016472) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 19032524) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-09-15 |