| NPI | 1487195608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX U2087) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.159124) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-03-23 |