| NPI | 1326480385 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036147562) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A149724) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2018-10-25 |