| NPI | 1518954965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-044940) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2005030239) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-10-01 |