| NPI | 1205909447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036090898) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036090898) |
| 207W00000X Ophthalmology (Licence: IL 036-090898) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-11-09 |