| NPI | 1285613273 | 
|---|---|
| Professional Name | MARK H TANNENBAUM | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 181665)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 64133)  | 
| Enumeration Date | 2006-01-10 | 
| Last Update Date | 2024-02-07 |