| NPI | 1770070146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036158918) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2021-02042) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-05-01 |