| NPI | 1649458878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036120416) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 127918) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2013-04-02 |