| NPI | 1407473077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.166400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL84610) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-03-20 |