| NPI | 1427056134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA md419487) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA008002000) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA008002000) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD419487) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-05-06 |