| NPI | 1255475737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME148171) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME148171) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2026-01-16 |