| NPI | 1841451937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 255287) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301100076) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-02-20 |