| NPI | 1013098987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: SC 34547) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101047945) |
| 207W00000X Ophthalmology (Licence: SC 34547) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-03-31 |