| NPI | 1457323537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX J-1844) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX J-1844) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX J1844) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-10-25 |