NPI | 1801058276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN23175) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412191) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 23175) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401412191) | |
Enumeration Date | 2008-06-27 |
Last Update Date | 2022-06-14 |