| NPI | 1073807681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D085870) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101265033) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MD D085870) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: VA 0101265033) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-06-15 |