| NPI | 1295364529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0077167) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A195007) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A195007) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-08-03 |