| NPI | 1295706570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0028791) |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: DE C1-0028791) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2026-03-09 |