| NPI | 1417237884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 201700948) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.126465) |
| 207W00000X Ophthalmology (Licence: NC 2017-00948) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: NC 201700948) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-01-10 |