NPI | 1760529754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019015288) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001040) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |