| NPI | 1154543916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036126730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051104) |
| 207W00000X Ophthalmology (Licence: IL 036.126730) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2011002933) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-04-10 |