| NPI | 1386958064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 42474) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.137712) |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: IA 42474) | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: IL 036.137712) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-03-18 |