| NPI | 1316003304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A113274) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA 113274) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-04-23 |