| NPI | 1396030094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036135902) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME155458) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME155458) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-06-19 |