| NPI | 1871545145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD25962) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD25962) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-03-11 |