| NPI | 1003492026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A200961) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.078176) |
| 207W00000X Ophthalmology (Licence: CA A200961) | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2025-07-03 |