| NPI | 1043297492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-098033) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 32467) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: IL 036-098033) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: IA 32467) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-08-14 |