| NPI | 1326452210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 303514) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 28779) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-08-07 |