| NPI | 1407484991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-51993) |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: KS 04-51993) |
| 207W00000X Ophthalmology (Licence: MO 2025046664) | |
| 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: MO 2025046664) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-04-08 |