| NPI | 1750776076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME142385) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MO 2019014867) |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist (Licence: FL ME142385) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-10-12 |