| NPI | 1609052695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: GA 062986) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 62986) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: GA 062986) | |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2021-03-24 |