| NPI | 1033351689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A135262) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 258700) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: CA A135262) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2024-07-13 |