| NPI | 1114190154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CT 048651) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 251919) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2019-01-30 |