| NPI | 1174534960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: LA 025136) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036114434) |
| 207W00000X Ophthalmology (Licence: LA 025136) | |
| 207W00000X Ophthalmology (Licence: KY 40519) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-02-26 |