| NPI | 1891135646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: AL MD.36983) |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: FL ME131681) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-08-05 |