| NPI | 1275972473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-164853) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 02004536A) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-08-07 |