| NPI | 1962668624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: IL 036130412) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036130412) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-04-23 |