| NPI | 1861666463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 24568) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: NE 24568) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-11-27 |