| NPI | 1871190884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032932) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 021003081) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-07-26 |