| NPI | 1437358868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD.204641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-052897) |
| 207W00000X Ophthalmology (Licence: NY 250229) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-11-04 |