| NPI | 1528225471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2011-00434) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME 106899) |
| 207W00000X Ophthalmology (Licence: CO DR.0055922) | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: CO DR.0055922) | |
| 207WX0120X Ophthalmology Cornea and External Diseases Specialist (Licence: NC 2011-00434) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-08-12 |