| NPI | 1386837821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019029069) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 13207) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12010982A) | |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2021-10-04 |