| NPI | 1396776951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MN 39922) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036096763) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G81049) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-09-29 |