| NPI | 1992913685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 47668) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C1-0008622) |
| 207W00000X Ophthalmology (Licence: MD D0070436) | |
| 207W00000X Ophthalmology (Licence: IA 40287) | |
| 207W00000X Ophthalmology (Licence: IL 036-130628) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-01-05 |