| NPI | 1245290287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV 6953) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G62460) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-12-23 |