| NPI | 1437302825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OR 157217) |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist (Licence: OR MD157217) |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: OR MD157217) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2017-04-06 |