| NPI | 1538459458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 37194) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 6238) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401416869) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 16932) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 9496) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 3909-17) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 6719) | |
| 208D00000X General Practice (Licence: AL 31809) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IA 9931) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-05-23 |