| NPI | 1710954474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036045862) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-045862) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2015-03-03 |