NPI | 1558866798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 316942) |
Additional Taxonomies | 207WX0009X Ophthalmology Glaucoma Specialist (Licence: NY 316942) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-07-28 |