| NPI | 1285883231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-35809) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2012016535) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2026-03-13 |