| NPI | 1346237534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-112111) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2004012770) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2026-04-16 |