NPI | 1457871402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036164158) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036164158) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-08-21 |