| NPI | 1932549771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: PA MD460367) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD460367) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-06-21 |