| NPI | 1205038262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA09747600) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 109348) |
| 207W00000X Ophthalmology (Licence: PA MT193054) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NJ 25MA09747600) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-07-23 |