| NPI | 1851479422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A94672) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036140181) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-12-09 |