| NPI | 1598790438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM MD2020-0822) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036072606) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-12-10 |