| NPI | 1558056531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 324847) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD-54626) |
| 207W00000X Ophthalmology (Licence: IA MD-54626) | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2025-11-25 |