NPI | 1518646090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NE 7950) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NE 7950) |
Enumeration Date | 2023-07-12 |
Last Update Date | 2023-07-12 |