| NPI | 1326151002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 32136-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-104703) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-07-19 |