| NPI | 1821045782 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036070162) | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-070162) | 
| Enumeration Date | 2006-05-27 | 
| Last Update Date | 2021-12-28 |