| NPI | 1518066554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: WI 45377) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 45377) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IL 036110948) | |
| 207W00000X Ophthalmology (Licence: IL 036110948) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-04-06 |