| NPI | 1295783611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NJ 25MA07555900) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 212284) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: NY 212284) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-01-19 |