| NPI | 1821232265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD451265) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MA09527400) |
| 207W00000X Ophthalmology (Licence: PA MD451265) | |
| 207W00000X Ophthalmology (Licence: TX P2993) | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NJ 25MA09527400) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2022-12-01 |