| NPI | 1720144975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DRP.0000825) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036055837) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-07-31 |