| NPI | 1316094139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME113112) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 036.127883) |
| 207W00000X Ophthalmology (Licence: MO 2011011567) | |
| 207W00000X Ophthalmology (Licence: FL ME113112) | |
| 207W00000X Ophthalmology (Licence: IA 38326) | |
| 207W00000X Ophthalmology (Licence: AL MD31780) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: AL MD31780) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-02-21 |