| NPI | 1073670477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA C144368) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 200000279) |
| 207W00000X Ophthalmology (Licence: CA C144368) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-03-21 |