| NPI | 1275624090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CA A81690) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A81690) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-04-10 |