| NPI | 1679009310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: AZ 66619) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A172535) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CA A172535) | |
| 207W00000X Ophthalmology (Licence: AZ 66619) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-02-26 |