NPI | 1144786104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NY 336362) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 336362) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2025-08-01 |