| NPI | 1316147564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036120155) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME99072) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2010-12-07 |