| NPI | 1760725923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046010766) |
| Additional Taxonomies | 152WS0006X Optometrist, Sports Vision (Licence: IL 046010766) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2021-12-09 |