| NPI | 1922061969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CO DR0043711) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 43711) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-04-07 |