| NPI | 1043227069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA g43711) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA g43711) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA G43711) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-07-12 |