| NPI | 1710907787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN17872) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 19025779) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-08-26 |