| NPI | 1962610642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.120383) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R-7682) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-08-19 |