| NPI | 1598329989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA 201127) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125077452) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-06-04 |