| NPI | 1932463585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD464061) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036139999) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2023-09-20 |