| NPI | 1144545740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AL MD.39133) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 266923) |
| 207W00000X Ophthalmology (Licence: AL MD.39133) | |
| 207W00000X Ophthalmology (Licence: RI MD15306) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2021-03-16 |