| NPI | 1497762207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD.021851) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 021851) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-11-19 |