| NPI | 1730683954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 321594-01) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD d94052) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-05-17 |