| NPI | 1306103577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 24997) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: IA MD-44380) |
| 174400000X Specialist (Licence: NH 24997) | |
| 207W00000X Ophthalmology (Licence: ME MD27646) | |
| 174400000X Specialist (Licence: ME MD27646) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-09-21 |