NPI | 1922167998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019025201) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001963) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |