| NPI | 1770591034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 019015387) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 021001037) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |