| NPI | 1982664272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.126417) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD049345L) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-02-12 |