| NPI | 1336643378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101281449) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0099911) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD500002874) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-08-28 |