| NPI | 1437133386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MA 50238) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NH 9113) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-08-12 |