| NPI | 1558597245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI DO00675) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 252913) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2022-09-21 |