| NPI | 1477085561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME155176) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA MD473631) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: PA MD473631) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-01-31 |