| NPI | 1508022286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2013-00729) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125054371) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2013-00729) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-04-26 |