| NPI | 1679102750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NJ 25IA13080100) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.149819) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-07-17 |