| NPI | 1659336733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 53859-020) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036117608) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-12-20 |