| NPI | 1295307858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NY 317301) |
| Additional Taxonomies | 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NY 107867) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-07-03 |