| NPI | 1134545171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 294458) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 294458) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2023-08-03 |