NPI | 1982632105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: IL 036078715) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-078715) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2017-04-27 |