| NPI | 1972846822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A1632319) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A1632319) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-11-09 |