| NPI | 1679252449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036176115) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO DR.0073244) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-08-16 |