| NPI | 1750550091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA08917700) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA08917700) |
| 207W00000X Ophthalmology (Licence: PA MD438364) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD43834) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: PA MD438364) | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NJ 25MA08917700) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2020-04-21 |