| NPI | 1447810841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35.147616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074879) |
| 207W00000X Ophthalmology (Licence: KY 57734) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-04-27 |