| NPI | 1154339430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 21234) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-108811) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-10-25 |