| NPI | 1346685971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 302906) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.147343) |
| 207W00000X Ophthalmology (Licence: CA A150354) | |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: NY 302906) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-03-28 |