| NPI | 1215982822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036063584) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G22942) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-07-01 |