| NPI | 1386986669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA10677700) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.143658) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 286387) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-08-16 |