| NPI | 1922005883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: FL ME71209) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME0071209) |
| 207WX0109X Ophthalmology, Neuro-ophthalmology (Licence: FL ME71209) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2021-06-03 |