| NPI | 1356597488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 021002797) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027897) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2026-02-09 |