| NPI | 1780637942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD042711E) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD042711E) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-08-14 |