NPI | 1033184528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036092973) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-092973) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2021-12-20 |