| NPI | 1417119488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036148140) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO MO2011000699) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-06-21 |