| NPI | 1265432991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A77825) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036111048) |
| 207W00000X Ophthalmology (Licence: OR MD183525) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD183525) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2026-05-29 |