| NPI | 1518054691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: SC 51660) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 51660) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-05-18 |