| NPI | 1851545677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN 48289) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101251158) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2015-03-03 |