| NPI | 1225490121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD483626) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE C10027121) |
| 207W00000X Ophthalmology (Licence: NJ 25MA11400600) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD483626) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DE C10027121) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA11400600) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-06-11 |