| NPI | 1194087940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NV 18303) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: UT 10256816-1205) |
| 207W00000X Ophthalmology (Licence: NV 18303) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-01-03 |