| NPI | 1679541973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 27394) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036092359) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-06-21 |