| NPI | 1861806002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 66347) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: IL 036.146151) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: CT 66347) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-11-03 |