| NPI | 1467486530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ MA53613) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25ma05361300) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-12-21 |