| NPI | 1336226141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD041584L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD041584L) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |