| NPI | 1285258574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.076179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076179) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2022-05-02 |