| NPI | 1609800127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: KY 52609) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX E7897) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: TX E7897) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: TX E7897) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-07-05 |