| NPI | 1649663311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 62881) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.070760) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-06-28 |