| NPI | 1144665878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036154553) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 5101020454) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-05-18 |