| NPI | 1437315033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 131309) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 41856) |
| 207W00000X Ophthalmology (Licence: IL 036128042) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2022-07-11 |