| NPI | 1871737239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.132924) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-07-25 |