| NPI | 1326576968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.159289) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A172880) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207W00000X Ophthalmology (Licence: IL 125.070941) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-02-14 |