| NPI | 1144360777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019025780) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 5433) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002119) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-01-30 |