| NPI | 1366545410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036042751) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036-042751) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-07-21 |