| NPI | 1962402685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036081438) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036081438) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01038973A) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-02-04 |