NPI | 1366820441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036149417) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036149417) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2021-05-08 |