| NPI | 1710265483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-132575) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IL 036.132575) |
| 207R00000X Internal Medicine (Licence: IL 125057337) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2021-04-22 |