| NPI | 1477789543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME116116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13803) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME116116) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-05-25 |