| NPI | 1427114115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021002195) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019026244) |
| 122300000X Dentist (Licence: IN 12010886A) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-03-01 |