| NPI | 1417038845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 167222) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 167222) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-04-30 |