| NPI | 1588837645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101255370) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036129823) |
| 207W00000X Ophthalmology (Licence: VA 0101255370) | |
| 207W00000X Ophthalmology (Licence: MO 2012008076) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2022-07-21 |