| NPI | 1043071277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO TL0010034) |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CO TL0010034) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-07-16 |