| NPI | 1215101845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036123252) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301091704) |
| 207W00000X Ophthalmology (Licence: IN 01062131A) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2021-12-07 |