| NPI | 1255352035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2012-02171) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036104884) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-12-12 |