| NPI | 1285659722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME69009) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME69009) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-11-12 |