| NPI | 1740480441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C139388) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.127414) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-11-02 |