| NPI | 1669529780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD436071) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD436071) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NJ 25MA09004800) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-08-09 |