| NPI | 1972845287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 277914) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 277914) |
| 207W00000X Ophthalmology (Licence: IL 036.143632) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2026-04-03 |