| NPI | 1689929184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: OK 6) |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: OK 6433) |
| 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: OK 6433) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2024-06-11 |