| NPI | 1922002344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R8F17) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 03058639) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-02-04 |