| NPI | 1720020332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301096052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A81508) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-03-04 |