| NPI | 1508805862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000045107) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036088310) |
| 174400000X Specialist (Licence: TN 0000045107) | |
| 174400000X Specialist (Licence: KY TP935) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 1517674) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-08-12 |