| NPI | 1336261692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 242273-1) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 242273) |
| 207W00000X Ophthalmology (Licence: IL 36117751) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-11-13 |