| NPI | 1083876098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 00A121146) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125054496) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-02-16 |