| NPI | 1669573788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101241613) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101241613) |
| 207W00000X Ophthalmology (Licence: DC D0065744) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0065744) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD036660) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-11-14 |