| NPI | 1477524973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AR N8008) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OK 15267) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2012-06-28 |