| NPI | 1386841666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY A238344) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY A238244) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-05-19 |