| NPI | 1134118482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 108687) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036099328) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2011-02-04 |