| NPI | 1417991621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036058062) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036058062) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-04-30 |