| NPI | 1861595837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD d22820) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D22820) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-02-28 |