NPI | 1083893770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: NY 262738) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 262738) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2024-03-18 |