| NPI | 1609431923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX V0785) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036178125) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-12-20 |