| NPI | 1437100856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 036.119907) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002254) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021002254) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: IL 137000717) | |
| 122300000X Dentist (Licence: IL 019027559) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2026-03-30 |