| NPI | 1487789574 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036122731) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036122731) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-02-04 |