| NPI | 1811988520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-097565) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 32999) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-06-15 |