| NPI | 1780684571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 9777) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NV 9777) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-05-24 |