| NPI | 1184679524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-110825) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036.110825) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-12-07 |