| NPI | 1801698741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.085391) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125085391) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-04-20 |