| NPI | 1609448281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35.148814) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35.148814) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: OH 35.148814) | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-02-01 |