| NPI | 1801235734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036147533) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125064011) |
| 207W00000X Ophthalmology (Licence: LA 307286) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-09-27 |