| NPI | 1932163839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX T3813) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 246943) |
| 207W00000X Ophthalmology (Licence: CA A95487) | |
| 207W00000X Ophthalmology (Licence: PA MD426001) | |
| 207W00000X Ophthalmology (Licence: NJ 25MA08050200) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-04-16 |