| NPI | 1639377260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036122935) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.122935) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-07-06 |