| NPI | 1144210873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NJ 25MA06981000) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA06981000) |
| 207W00000X Ophthalmology (Licence: NY 1864411) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 186441-1) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-04-24 |