| NPI | 1699731018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35064674B) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35064674) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-08-17 |