| NPI | 1093790594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: CA A91585) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 246572) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2026-07-07 |