| NPI | 1437689478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL L.5059SP) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL HSE24976) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-10-27 |