| NPI | 1518039718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.021752) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019-021752) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021.001714) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-06-16 |