| NPI | 1730455262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD21166) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 120.059576) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2016-12-20 |