| NPI | 1689121261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 319019970) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 319019970) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |