| NPI | 1871814442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: CA A140845) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A140845) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-08-11 |