| NPI | 1992903488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-128638) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MT191692) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-04-22 |