| NPI | 1952832883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: FL ME157999) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME157999) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2026-02-24 |