| NPI | 1063918217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 1252542) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.166113) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-05-14 |