| NPI | 1932136827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 252133) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA 36488) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-10-01 |