| NPI | 1467806513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 70121) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036152620) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-07-27 |