| NPI | 1922592963 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: IL 036165934)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036165934)  | 
| Enumeration Date | 2018-06-21 | 
| Last Update Date | 2024-01-11 |