| NPI | 1275607939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 23917) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-112859) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-10-27 |