| NPI | 1770513715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 037859) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD10384) |
| 207W00000X Ophthalmology (Licence: CT 037859) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: RI MD10384) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-09-28 |