| NPI | 1902302359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A163776) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036159615) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-04-30 |