| NPI | 1790979011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036126329) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA 70002214) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2026-02-22 |