| NPI | 1346690682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A179336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110094) |
| 207W00000X Ophthalmology (Licence: IL 036.151847) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-09-29 |