| NPI | 1932107778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036090403) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-090403) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-12-28 |