NPI | 1699768911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036051996) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-051996) |
207W00000X Ophthalmology (Licence: MO 35374) | |
207WX0107X Ophthalmology, Retina Specialist (Licence: MO 35374) | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2017-04-10 |