| NPI | 1336171875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: ME MD21285) |
| Additional Taxonomies | 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: ME MD21285) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-21 |