NPI | 1427552181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 329128) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.160433) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2025-07-29 |