NPI | 1528274321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022271) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010801A) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2021-07-06 |