NPI | 1154394963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA07110100) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 71101) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2017-08-01 |