| NPI | 1487829347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 49786) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD.205311) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2018-10-08 |