| NPI | 1194981985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301092731) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036134244) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-02-05 |