| NPI | 1518301431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: MA 269972) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 269972) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-09-05 |