NPI | 1013275478 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.146383) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME127128) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2019-11-05 |