| NPI | 1801043211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 257453) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 257453-1) |
| 207W00000X Ophthalmology (Licence: MA 239531) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: NY 257453) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2021-12-30 |