| NPI | 1861421521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DC MD036329) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036107224) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-12-14 |