| NPI | 1265411276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 21-000762) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 19-13567) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 36-064858) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2008-07-22 |