| NPI | 1477557247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 04-29064) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-29064) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-08-13 |