| NPI | 1912984360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-109140) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 35141) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IL 036-109140) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IA 35141) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-08-14 |