| NPI | 1386797124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL BH7097327) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019014576) |
| 1223G0001X Dentist, General Practice (Licence: IL 319004363) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |