| NPI | 1831195965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: RI MD08336) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: RI MD08336) |
| 207WX0107X Ophthalmology Retina Specialist (Licence: MA 77873) | |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: MA 77873) | |
| 207WX0108X Ophthalmology Uveitis and Ocular Inflammatory Disease (Licence: RI MD08336) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-02-08 |