| NPI | 1265011209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125080716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125080716) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-06-21 |