| NPI | 1205952249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036127128) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO 2011014874) |
| 207W00000X Ophthalmology (Licence: OH 35.09823) | |
| 207W00000X Ophthalmology (Licence: IL 036127128) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-04-10 |