| NPI | 1508820838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MA 72229) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 72229) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-06-27 |