| NPI | 1255443412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 41625) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036145288) |
| 207W00000X Ophthalmology (Licence: WI 41625020) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-05-02 |