| NPI | 1053522540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036127402) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL FA 1870915) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-08-22 |