NPI | 1598253437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036167256) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD477502) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-08-29 |