| NPI | 1437597366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA10886200) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: NY 277002) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: NJ 25MA10886200) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2022-03-22 |