| NPI | 1982232542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A195178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076524) |
| 207W00000X Ophthalmology (Licence: IL 125.076524) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: CA A195178) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-06-06 |