| NPI | 1750463162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 7104) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 151290) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-12-17 |