| NPI | 1659434975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019024941) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021002041) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |