| NPI | 1033310271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD.026383) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 19793) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2021-03-08 |