| NPI | 1407903180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 34177) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-092307) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-09-29 |