| NPI | 1477781888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NE 28285) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35121595) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-11-05 |