| NPI | 1366686727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: LA 300420) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 263220) |
| 207W00000X Ophthalmology (Licence: CA A125524) | |
| 174400000X Specialist (Licence: CA A125524) | |
| 207W00000X Ophthalmology (Licence: LA 300420) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-04-14 |