| NPI | 1881950335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 32857) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125062627) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-05-06 |