| NPI | 1376710822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 069838) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A102436) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-03-29 |