| NPI | 1841226073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G39123) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: TN MD0000014165) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2026-01-16 |