| NPI | 1962814806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 300337) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D85226) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NY 300337) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-04-21 |