| NPI | 1710448162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D96960) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.073535) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-06-05 |