| NPI | 1740268127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD 51444) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 51444) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2009-06-22 |