| NPI | 1790945046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA C150144) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C150144) |
| 207W00000X Ophthalmology (Licence: NY 262966) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-04-04 |