NPI | 1821152992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018357) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI 1329) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |