| NPI | 1013941657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME80092) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036104977) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-06-19 |