| NPI | 1427461367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 31225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36975) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2015-05-26 |