| NPI | 1255673364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036142508)  | 
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036142508)  | 
| Enumeration Date | 2013-03-27 | 
| Last Update Date | 2023-04-11 |