| NPI | 1073992731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CO DR.0067969) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A161485) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-08-09 |