| NPI | 1790876092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MA 72500) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 72500) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-03-27 |