| NPI | 1659663268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 267022) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036135460) |
| 207W00000X Ophthalmology (Licence: NY 267022) | |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2023-03-26 |