NPI | 1083920227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 036147058) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019031599) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021102880) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 036147058) | |
204E00000X Oral & Maxillofacial Surgery (Licence: IL 019031599) | |
204E00000X Oral & Maxillofacial Surgery (Licence: IL 021002880) | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2024-02-29 |