| NPI | 1871940536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036157712) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 282853) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-08-02 |