| NPI | 1215930763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OR MD20042) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD20042) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: OR MD20042) | |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2018-10-23 |