| NPI | 1407069727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2010-00315) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.122534) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-08-23 |