| NPI | 1639676000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA A172845) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A172845) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-04-04 |