| NPI | 1457845919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: PA MD479761) |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA11711100) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-04-17 |