| NPI | 1831431006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R6373) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D82908) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: TX R6373) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-04-07 |