| NPI | 1447486329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036.135723) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 254833) |
| 207W00000X Ophthalmology (Licence: IN 01074368A) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-04-26 |