| NPI | 1275514937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0040750) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO DR.0040750) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-07-29 |