NPI | 1952032484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: IL 018.002297) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: OH RES.004481) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2025-05-27 |