| 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 |