| NPI | 1407824360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0057246) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0057246) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: PA MD004219L) | |
| 208600000X Surgery (Licence: MD D0057246) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-02-20 |