| NPI | 1639109101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A32523) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A32523) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA A32523) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-09-14 |