| NPI | 1538373485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-32719) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-32719) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-10-31 |