| NPI | 1982785317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA10852300) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 142272) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-12-17 |