| NPI | 1740439371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A125839) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.054606) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-02-11 |