| NPI | 1659441103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.015297) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019-015297) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021.000989) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-06-16 |