| NPI | 1114450566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-44919) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-44919) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-10-23 |