| NPI | 1558947598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.078470) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036173232) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2025-04-28 |