| NPI | 1326541129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A163883) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME15056) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-09-25 |