| NPI | 1194753186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301077476) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301077476) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MI 4301077476) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-01-26 |