| NPI | 1467652933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A116327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090651) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NY 265714) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-07-06 |