| NPI | 1013983923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 235037-1) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 235037-1) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-10-04 |