| NPI | 1467727735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 32009) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.060802) |
| 207W00000X Ophthalmology (Licence: PA MD464110) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2018-12-11 |