| NPI | 1760518823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 249681) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 00246048) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2018-05-04 |