| NPI | 1891951455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 264294) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35094389) |
| 207W00000X Ophthalmology (Licence: NY 264294) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-05-14 |