| NPI | 1598719940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 36241) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN 60521) |
| 207W00000X Ophthalmology (Licence: MO 2021004418) | |
| 207W00000X Ophthalmology (Licence: IL 036.156192) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-05 |