| NPI | 1346204013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 16481) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 16481) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-08-30 |