| NPI | 1801057146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0086891) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: DC MD046970) |
| 207W00000X Ophthalmology (Licence: MD D0086891) | |
| 207W00000X Ophthalmology (Licence: DC MD046970) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2025-10-08 |