| NPI | 1033117999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 116342) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 116342) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2025-09-03 |