| NPI | 1336151604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME 015982) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME137023) |
| 207W00000X Ophthalmology (Licence: VI 2652) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: VI 2652) | |
| 207WX0107X Ophthalmology Retina Specialist (Licence: ME 015982) | |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: VI 2652) | |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: ME 015982) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-08-13 |