| NPI | 1669634143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036132250) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35099461) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-07-28 |