| NPI | 1881013514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.152821) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301114411) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-05-13 |