| NPI | 1134106594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 30004) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-088865) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-03-31 |