| NPI | 1952689705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.073602) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-073602) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: IL 036.073602) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2022-10-11 |