| NPI | 1598260655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A194866) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD d93753) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-07-02 |