| NPI | 1679836647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036146909) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A141866) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2021-12-25 |