| NPI | 1477513794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 265200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036-115056) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-02-22 |