| NPI | 1528447174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.165041) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2023029272) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2025-10-21 |