| NPI | 1356570873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036039638) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2002003993) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |