| NPI | 1255682217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD464387) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2022-07-21 |