| NPI | 1538171921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 36117039) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 241356) |
| 207W00000X Ophthalmology (Licence: MO 2013007992) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-04-03 |