| NPI | 1942228614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX M4099) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036113336) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-07-07 |