| NPI | 1538336615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: IL 19025300) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 19025300) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-01-23 |