| NPI | 1184618266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A102116) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 33904) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-07-08 |