| NPI | 1225141674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 11972) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV NV11972) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-01-03 |