NPI | 1043519697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-140737) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036140737) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2021-12-28 |