| NPI | 1063776102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R1067) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.147341) |
| 207W00000X Ophthalmology (Licence: WI 230-320) | |
| 207W00000X Ophthalmology (Licence: NV 17365) | |
| 207W00000X Ophthalmology (Licence: WA MD.MD.60854412) | |
| 207W00000X Ophthalmology (Licence: AZ 57249) | |
| 207W00000X Ophthalmology (Licence: NE 27903) | |
| 207W00000X Ophthalmology (Licence: ID M-13902) | |
| 207W00000X Ophthalmology (Licence: NY 290484) | |
| 207W00000X Ophthalmology (Licence: UT 10464347) | |
| 207W00000X Ophthalmology (Licence: SD 11125) | |
| 207W00000X Ophthalmology (Licence: ME MD22573) | |
| 207W00000X Ophthalmology (Licence: CO CDR.0000194) | |
| 207W00000X Ophthalmology (Licence: IA MD-45561) | |
| 207W00000X Ophthalmology (Licence: MS 26137) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-01-30 |