| NPI | 1467409383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 37052) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-113163) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-02-15 |