| NPI | 1467712224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME126847) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD457327) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME126847) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2024-01-21 |