| NPI | 1861708315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35097049) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036125098) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2012-12-13 |