| NPI | 1760633812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2016-01762) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036129100) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-04-27 |