NPI | 1710976618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036-110784) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-110784) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2024-08-27 |