| NPI | 1619851722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA SPI899) |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA 899) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-10-06 |