| NPI | 1295788941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD435508) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DE CI0007361) |
| 207W00000X Ophthalmology (Licence: DE CI-0007361) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-05-10 |