| NPI | 1366936882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD26571) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 275986) |
| 207W00000X Ophthalmology (Licence: NH 23619) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MA 291178) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NH 23619) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: ME MD26571) | |
| 174400000X Specialist (Licence: NH 23619) | |
| 174400000X Specialist (Licence: ME MD26571) | |
| 207R00000X Internal Medicine (Licence: MA 275986) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-10-17 |