| NPI | 1083871974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036129978) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036129978) |
| 207W00000X Ophthalmology (Licence: WI 54511) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-07-03 |