| NPI | 1467445866 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0060284) | 
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME60284) | 
| Enumeration Date | 2005-08-31 | 
| Last Update Date | 2019-07-24 |