| NPI | 1881642874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 34.003030) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 34003030) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-01-25 |