| NPI | 1881618023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD459494) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A95681) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-07-21 |