| NPI | 1497741342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036050042) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 29201020) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2014-01-03 |