| NPI | 1265546170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX Q7173) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 60219) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OK 35832) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 66760) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: RI MD16947) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AR E-12784) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TN 51239) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: IA MD45810) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0064347) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 84595) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 53996) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 258189) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NM MD2020-0353) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301501895) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2020-01277) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-03-17 |