| NPI | 1154322790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 03656121) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 03656121) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2017-08-09 |