| NPI | 1851374938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: ME MD21761) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ME MD21761) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-05-16 |