NPI | 1538522834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.161086) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2019-01343) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2022-10-28 |