| NPI | 1164637153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: CA 20A12784) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036122962) |
| 207W00000X Ophthalmology (Licence: CA 20A12784) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-04-05 |