| NPI | 1316108038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A107534) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125049581) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-09-05 |