| NPI | 1164583084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036147214) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 026330) |
| 207W00000X Ophthalmology (Licence: TN 42382) | |
| 207W00000X Ophthalmology (Licence: MS 20248) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-04-08 |