| NPI | 1245386333 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2008023553)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 36122133)  | 
| Enumeration Date | 2007-01-25 | 
| Last Update Date | 2015-01-29 |