| NPI | 1760588180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: NJ 25MA04560600) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA04560600) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-01-25 |