| NPI | 1316903404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX F1946) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F1946) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-10-31 |