| NPI | 1528167699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: GA 18936) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 018936) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-02-15 |