| NPI | 1144274853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 036138796) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019026949) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019026949) | |
| 208600000X Surgery (Licence: MA 251775) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-12-07 |