| NPI | 1184696346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR md176865) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 45882) |
| 207W00000X Ophthalmology (Licence: SC 34419) | |
| 207W00000X Ophthalmology (Licence: OR MD176865) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2017-06-20 |