| NPI | 1194382218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61517737) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IL 036.164554) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-08-02 |