| NPI | 1285948265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D83527) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2014-00465) |
| 207W00000X Ophthalmology (Licence: MN 59160) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: SC 82140) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VT 042.001633) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: WI 1141-320) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101256078) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NV 19581) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 79776) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AZ 55690) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: KS 04-44241) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI EMC000762) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MS 27347) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NE 35054) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-017669) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2023-10-24 |