NPI | 1902873722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036-095676) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-095676) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2021-12-28 |