NPI | 1629208756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036047382) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0063384) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-07-23 |