| NPI | 1346248887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0061009) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0061009) |
| 207W00000X Ophthalmology (Licence: VA 0101235292) | |
| 207W00000X Ophthalmology (Licence: DC MD034472) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-07-11 |