| NPI | 1639330772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A109299) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 241716) |
| 207W00000X Ophthalmology (Licence: CA A109299) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-04-04 |