| NPI | 1356568539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 268735) |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MA 268735) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-06-17 |