| NPI | 1912975160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IL 036073892) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036073892) |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2018-01-17 |