| NPI | 1275547200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 48071) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A80342) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-10 |