| NPI | 1093710857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 24018) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL 18941) |
| 207W00000X Ophthalmology (Licence: KY 34611) | |
| 207W00000X Ophthalmology (Licence: MS 17086) | |
| 207W00000X Ophthalmology (Licence: AR E2952) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AL 18941) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 34611) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 17086) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AR E2952) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 24018) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2017-04-26 |