| NPI | 1457714081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0066497) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A168469) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: SD 13218) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-03-17 |