| NPI | 1326215039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036123216) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.123216) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-12-20 |