| NPI | 1750709648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A162792) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125067874) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2022-12-23 |