| NPI | 1124245386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME35948) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME35948) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-12-05 |