| NPI | 1831286004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 8901) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK OK8901) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-03-18 |