| NPI | 1861694077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A110469) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301093445) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-11-05 |