| NPI | 1992702708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CO DR.0049796) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 49796) |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CO DR.0049796) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2026-02-19 |