| NPI | 1073755427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 51563) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: SC 51563) |
| 207W00000X Ophthalmology (Licence: NY 267055) | |
| 207W00000X Ophthalmology (Licence: MA 262329) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-06-19 |