| NPI | 1447423793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN MD0000046253) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2008-00450) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-01-31 |