| NPI | 1548605843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A163142) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A163142) |
| 207W00000X Ophthalmology (Licence: IL 036145222) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-10-25 |