| NPI | 1184912925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD171243) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD171243) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-07-21 |