NPI | 1750547733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036-129772) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.129772) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2024-08-27 |