| NPI | 1588834691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0089851) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 237552) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2024-04-01 |