| NPI | 1942278916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R9461) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036092978) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2010-08-06 |