| NPI | 1427133586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 060190087) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA61586) |
| 207W00000X Ophthalmology (Licence: NY 060190087) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-03-07 |