NPI | 1427262161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 3997) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 874) |
204E00000X Oral & Maxillofacial Surgery (Licence: KY 44995) | |
204E00000X Oral & Maxillofacial Surgery (Licence: AR E8873) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2015-10-16 |