| NPI | 1154378735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000021892) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR E-3527) |
| 207W00000X Ophthalmology (Licence: MS 16734) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-07-25 |