| NPI | 1982606950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036123530) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IN 01059313A) |
| 207W00000X Ophthalmology (Licence: IA 45488) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IA 45488) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-01-29 |