| NPI | 1306034509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036123022) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 38385) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2010-01-07 |