| NPI | 1083670152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A91067) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 313820-01) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA11319300) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-03-02 |