| NPI | 1558312041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 14702) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D56831) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-03-22 |