| NPI | 1396920906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME108657) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 142188) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME108657) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2019-03-12 |