| NPI | 1629054945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101046769) |
| Additional Taxonomies | 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: VA 0101046769) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2017-07-06 |