NPI | 1679816326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA09867700) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 18744) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2023-06-22 |