| NPI | 1336526888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A160606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208350) |
| 207W00000X Ophthalmology (Licence: NC 216024) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-04-08 |