| NPI | 1356802904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0075645) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A185417) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-09-30 |