| NPI | 1013237676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD454850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197557) |
| 207W00000X Ophthalmology (Licence: FL ME120111) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-02-18 |