| NPI | 1215016662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036128242) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 29207) |
| 207W00000X Ophthalmology (Licence: LA 202629) | |
| 208D00000X General Practice (Licence: IL 036128242) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-06-06 |