| NPI | 1922669761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: DE C1-0027221) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D97557) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-09-27 |