| NPI | 1316207913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 126935) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA12402400) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME126935) | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: NJ 25MA12402400) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2025-04-21 |