| NPI | 1972566156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036142127) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 21849) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-04-09 |