| NPI | 1144230293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036088088) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35090220) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-12-20 |