NPI | 1649270224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036093409) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036093409) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2022-02-04 |