NPI | 1235238973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036070891) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 36070891) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-01-07 |