| NPI | 1952612913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 283059-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245158) |
| 207W00000X Ophthalmology (Licence: TN 51000) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2022-02-02 |