| NPI | 1427312800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 307857) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: LA 307857) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-05-18 |