| NPI | 1548250202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2008003783) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036105571) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-10-25 |