| NPI | 1821131145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 30.016069) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM DD1380) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 16069) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.016069) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12009837A) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-03-22 |