| NPI | 1255573606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A114436) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX Q3774) |
| 207W00000X Ophthalmology (Licence: CA A114436) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-03-21 |