| NPI | 1942069034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.084169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.084169) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2025-06-20 |