NPI | 1497822662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MS 14210) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: MS 263991) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-07-08 |