| NPI | 1679997712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036159002) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD61043249) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-04-28 |