| NPI | 1427584283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 14275) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: SD 14275) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-04-10 |