| NPI | 1689674129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA06225100) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 1827361) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MA06225100) | |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NY 182736-1) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2017-04-24 |