| NPI | 1487157269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0073981) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A180519) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0073981) | |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2024-11-13 |