| NPI | 1013172105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME145189) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 57881) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME145189) | |
| 207W00000X Ophthalmology (Licence: TN 57881) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2020-09-03 |