| NPI | 1811992993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 6907) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NE 12369) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-08-11 |