| NPI | 1588651939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-078064) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2000160757) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-02-03 |