| NPI | 1548211774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35042466) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036075866) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-04-03 |