| NPI | 1730442500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2016004847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036141217) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-12-11 |