| NPI | 1619943222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 6544) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NH 6544) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-06-06 |