| NPI | 1588924849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A137252) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ r72481) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2016-07-29 |