| NPI | 1730155573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 32916) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036082657) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-11-18 |