| NPI | 1215598024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036176089) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME161907) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-08-28 |