| NPI | 1750547733 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036-129772) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.129772) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2024-08-27 |