| NPI | 1427312883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA C195919) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TX FK6429852) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2024-06-14 |