| NPI | 1821031980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: FL ME66425) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME66425) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-11-08 |