| NPI | 1295709699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101039831) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0060474) |
| 207W00000X Ophthalmology (Licence: VA 0101039831) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0060474) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD034263) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-07-21 |