| NPI | 1467430355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 23146) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO R4E53) |
| 207W00000X Ophthalmology (Licence: IL 036064392) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-06-28 |