| NPI | 1467979690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0074809) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A181938) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2025-03-25 |