| NPI | 1669475281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036106763) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01056390A) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2021-11-09 |