| NPI | 1689921033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60909090) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.061497) |
| 207W00000X Ophthalmology (Licence: MI 4301109226) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301109226) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-09-30 |