| NPI | 1093730673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: CO DR.0055191) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0053757) |
| 207W00000X Ophthalmology (Licence: CO DR.0055191) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-10-25 |