| NPI | 1558312181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI 18430) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI01843000) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: NJ DI01843000) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-05-12 |