| NPI | 1578514840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: TX 8793) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: OK 21812) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: OK 21812) | |
| 207W00000X Ophthalmology (Licence: OK 21812) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-11-29 |