| NPI | 1851736037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 2017006915) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036174940) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2025-09-23 |