| NPI | 1437234051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 28110) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18774) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-06-02 |