A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X |
* Indicates primary specialty
| NPI Number | 1962266619 |
| Credentials | PA-C (Physician Assistant-Certified) |
| Entity | Individual |
| Enumeration date | 02/12/2024 |
| Last updated | 06/10/2024 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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