| NPI | 1467450205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: SC 51479) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0077612) |
| 207W00000X Ophthalmology (Licence: SC 51479) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-08-20 |