| NPI | 1003308297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: IL 036.165616) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD477131) |
| 207W00000X Ophthalmology (Licence: IA R11376) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-01-11 |