| NPI | 1427235035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: PA MD458774) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD458774) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2018-04-11 |