| NPI | 1629060892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-067101) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036-067101) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: IL 036-067101) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-09-10 |