| NPI | 1356390462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VT 042.0016623) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D72604) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD443007) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A83251) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 239580) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301093303) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DE C1-0009712) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2025-12-16 |