NPI | 1215598024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036176089) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME161907) |
Enumeration Date | 2019-06-24 |
Last Update Date | 2025-08-28 |