| NPI | 1467542951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 50222) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AR R-3937) |
| 207W00000X Ophthalmology (Licence: CA A43764) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-01-15 |