| NPI | 1891770491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL me16298) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME16298) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-09-10 |