NPI | 1851898381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MB11890500) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: NJ 25MB11890500) |
207W00000X Ophthalmology (Licence: CT 71130) | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-09-20 |