| NPI | 1871125955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 39220) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME MD30289) |
| 207W00000X Ophthalmology (Licence: ME MD30289) | |
| 174400000X Specialist (Licence: NH 39220) | |
| 207W00000X Ophthalmology (Licence: NY 328959) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2026-09-21 |