NPI | 1235126327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA07590700) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA07590700) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2017-04-03 |