| NPI | 1699768911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036051996) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-051996) |
| 207W00000X Ophthalmology (Licence: MO 35374) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MO 35374) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-04-10 |