| NPI | 1053379081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX K9587) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 0036-098036) |
| 207W00000X Ophthalmology (Licence: TX K9587) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 0036-098036) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-07-21 |