| 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 |