| NPI | 1154854354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA12503800) |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: IL 036.155920) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-03-17 |