| NPI | 1053327445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD d71222) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD038882) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD038882) | |
| 207W00000X Ophthalmology (Licence: MD D71222) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101239747) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-04-09 |