NPI | 1861587420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NJ ma05860300) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ MA58603) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-04-20 |