| NPI | 1114224987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.138056) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2014010406) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2024-03-15 |