| NPI | 1457511818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX P2435) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: TX P2435) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-09-10 |