| NPI | 1821201351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A120894) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2009008059) |
| 207W00000X Ophthalmology (Licence: IL 036125717) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-02-18 |