| NPI | 1093236127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NE 31908) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 31908) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-09-29 |