| NPI | 1023075868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 33959) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: IL 36131567) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 45697) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 72251) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301102415) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 20602) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 46660) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA G89425) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CO 52072) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 51992) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME115227) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 69779) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 266450) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA09294800) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD448643) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-03-24 |