| NPI | 1114136959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036124435) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT185909) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-10-05 |