| NPI | 1518042266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002285) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002285) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IA FAC-40237) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-06-20 |