| NPI | 1346553450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.139926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057904) |
| 207W00000X Ophthalmology (Licence: IL 036.139926) | |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2020-01-18 |