NPI | 1427055508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA07142000) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD418189) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2021-04-12 |