| NPI | 1366708174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: FL ME136871) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL MD.32701) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-09-14 |