| NPI | 1083988851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME120018) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A149083) |
| 207W00000X Ophthalmology (Licence: FL ME120018) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2022-11-17 |