| NPI | 1922005800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 22265) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CT 022265) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-01-26 |