NPI | 1285645549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036110558) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036110558) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2017-04-06 |