| NPI | 1326145111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA03604700) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA36047) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-09 |