| NPI | 1861481152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO 108456) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AL MD.51039) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2025-06-25 |