| NPI | 1952989279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA OS024545) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NJ 25MB12111200) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-04-22 |