NPI | 1427056050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA05362500) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ MA053625) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2020-10-30 |