NPI | 1558334359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA06190200) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 61902) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2021-07-20 |