| NPI | 1568471100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR.0032384) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G60381) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-05-25 |