| NPI | 1164483301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0085754) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036115918) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-08-03 |