| NPI | 1033679493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL MD.50972) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125073564) |
| 207W00000X Ophthalmology (Licence: WI 81518) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-07-02 |