| NPI | 1649330077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019017176) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001233) |
| 122300000X Dentist (Licence: WI 2583015) | |
| 122300000X Dentist (Licence: IL 019017176) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-10-29 |