| NPI | 1871912717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036151436) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A146829) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-11-03 |