| NPI | 1780634782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OK 31674) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 31674) |
| 207W00000X Ophthalmology (Licence: IL 036135701) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-01-29 |