| NPI | 1588600647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036.113384) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036113384) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-01-07 |