| NPI | 1548647696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 72851-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208217) |
| 207W00000X Ophthalmology (Licence: IL 036169570) | |
| 207W00000X Ophthalmology (Licence: NY 316022) | |
| 207W00000X Ophthalmology (Licence: PA MD466869) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-12-10 |