| NPI | 1124368584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021.003056) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 41407) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2025-06-18 |