| NPI | 1467610311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR MD158027) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.130354) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2012-07-10 |