| NPI | 1588601793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 134320) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 33921) |
| 174400000X Specialist (Licence: NY 134320) | |
| 207W00000X Ophthalmology (Licence: NY 134320) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: NY 134320) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-07-05 |