| NPI | 1265554729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0052276) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.124705) |
| 207W00000X Ophthalmology (Licence: WY 9452A) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-08-20 |