| NPI | 1922247923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ME MD19191) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A97479) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2013-05-02 |