| NPI | 1740718410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 75511-21) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-157241) |
| 207W00000X Ophthalmology (Licence: MI 5101028533) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2025-03-12 |