| NPI | 1598296238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A172874) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A172874) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2026-04-02 |