| NPI | 1679739650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 57278) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036133408) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-12-22 |