NPI | 1548247992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-076176) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 21515) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2014-03-04 |