| NPI | 1093733271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME99008) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 27267) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-05-03 |