| NPI | 1043291701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0041566) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO DR-41566) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: NM MD2009-0247) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2016-05-02 |