| NPI | 1457499089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2008-01207) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A93987) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2008-07-18 |