| NPI | 1376171553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036169110) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 036169110) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-04-01 |