| NPI | 1467510370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101059192) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC MD31476) |
| 207W00000X Ophthalmology (Licence: MD D54418) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-26 |