| NPI | 1154852473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036171602) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 87407) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-06-23 |