NPI | 1952367351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-069820) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 036069820) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 036069820) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2009-11-20 |