| NPI | 1407825482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD015251E) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA33892) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |