| NPI | 1649267006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-078492) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO MD102163) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-10-01 |