NPI | 1659356186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036095435) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036095435) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2017-04-06 |