| NPI | 1942406756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 249201) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A115880) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-09-03 |