| NPI | 1053315036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: MD D0037803) |
| Additional Taxonomies | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: VA 0101043516) |
| 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: DC MD21176) | |
| 207WX0109X Ophthalmology Neuro-ophthalmology (Licence: VA 0101043516) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: MD D0037803) | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: DC MD21176) | |
| 207W00000X Ophthalmology (Licence: VA 0101043516) | |
| 207W00000X Ophthalmology (Licence: DC MD21176) | |
| 207W00000X Ophthalmology (Licence: MD D0037803) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-10-16 |