| NPI | 1598861668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 198164) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 198164) |
| 207W00000X Ophthalmology (Licence: NY 198164) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-02-22 |