| NPI | 1003893454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-100181) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IA 33115) |
| 207W00000X Ophthalmology (Licence: IA 33115) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036-100181) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-03-17 |