| NPI | 1780799684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL 28466) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD0000039812) |
| 207W00000X Ophthalmology (Licence: AL MD28466) | |
| 207W00000X Ophthalmology (Licence: GA 056275) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-04-12 |