| NPI | 1689939795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 21250) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101254699) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2021-06-10 |